Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00127 | Date 07/08/2018 |
| Token No | SM/18-19/132 07/08/2018 | Serial | 028 |
| Patient Name | Mr. BALARAM SINGH | Contact No | |
| Address | HOSPITAL LANE | Age | 57 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||